囊内镜特征在一个严重的乙酸性肠炎:一个病例报告
Phu Quang Pham1, Thuan Duc Nghiem2, Nhuong Xuan Duong1
1Military Hospital 103, Hanoi, Viet Nam; Vietnam Military Medical University, Hanoi, Viet Nam.
概括
生性肠炎 (EoN) 是一种罕见的疾病,影响小肠. 囊内镜检查揭示了特征性粘膜病变,在活检很难时有助于诊断.
科学领域:
- 胃肠病学 胃肠病学
- 消化内镜检查是消化器内镜检查.
- 组织病理学 组织病理学
背景情况:
- 生性肠炎 (EoN) 是一种罕见的疾病,涉及小肠的生性透.
- 诊断通常需要内镜检查结果和组织异osinophilia.
- 囊内镜对于评估小肠很有价值,但EoN的内镜特征尚不清楚.
研究的目的:
- 为了突出囊内镜检查的关键发现,在某种情况下,eosinophilic肠炎.
- 在小肠活检具有挑战性时,为EoN提供诊断指南.
主要方法:
- 一个20岁的男性患有腹痛,恶心,吐和腹的案例介绍.
- 实验室检测显示,外周血液中存在埃索因菲利亚和高C反应蛋白.
- 腹部CT显示大肠和大肠区域变厚.
- 囊内镜检查显示了红血,小性缩,侵蚀,和.
- 组织病理学证实了eosinophilic粘膜透.
- 用静脉注射甲基普雷迪尼索隆治疗,然后逐渐减少.
主要成果:
- 囊内镜检查显示了微小肠道粘膜的扩散异常,包括红斑,小性缩,侵蚀,和.
- 组织病理学证实了EoN的诊断.
- 静脉注射甲基普雷迪尼索隆在两个月内导致显著的症状缓解和病变的内镜分离.
结论:
- 囊内镜呈现了EoN的特征性发现,如红血,状缩,侵蚀,和.
- 这些发现可以指导诊断在小肠活检是不可行的情况下.
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